Nonsuicidal self-injury in sexual minority college students: a test of theoretical integration.

Nonsuicidal self-injury in sexual minority college students: a test of theoretical integration.
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DOI:
10.1186/s13034-015-0050-y
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发表时间:
2015
影响因子:
5.6
通讯作者:
McMillan T
McMillan T
中科院分区:
医学3区
文献类型:
--
作者:
Muehlenkamp JJ;Hilt LM;Ehlinger PP;McMillan T

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与异性恋同龄人相比,被认定为性少数群体的人进行非自杀性自残(NSSI)的比例要高得多。鉴于 NSSI 是已知的自杀风险因素,了解性少数群体特有的增加 NSSI 风险的过程非常重要,以便能够采取充分的预防措施。目前的研究整合了少数民族压力理论和自杀人际理论来测试 NSSI 和自杀风险模型。共有 137 名被认定为性少数群体的大学生完成了一项匿名在线研究,评估 NSSI、自杀想法/行为以及少数群体压力和人际理论的构建。使用引导分析进行两次线性回归来检验我们的假设。少数族裔压力与 NSSI 直接相关,并通过感知的负担直接相关,解释了 27% 的差异。 NSSI 与自杀想法/行为的风险增加直接相关,并且通过获得的能力,解释了 45% 的差异。这些发现提供的证据表明,个人由于性少数地位而面临的独特压力源会影响认知和情感过程(例如负担和获得能力),从而增加自残的风险。简要讨论了对预防、干预和未来研究的影响。
Individuals identifying as a sexual minority report engaging in nonsuicidal self-injury (NSSI) at substantially higher rates compared to their heterosexual peers. Given that NSSI is a known risk factor for suicide, it is important to understand the processes unique to being a sexual minority that increases risk for NSSI so that adequate prevention efforts can be established. The current study integrated Minority Stress Theory and the Interpersonal Theory of Suicide to test a model of NSSI and suicide risk. A total of 137 college students who identified as a sexual minority completed an anonymous on-line study assessing NSSI, suicidal thoughts/behaviors, and constructs of the minority stress and interpersonal theories. Two linear regressions using bootstrapping analyses were conducted to test our hypotheses. Minority stress was directly associated with NSSI and via perceived burdensomeness, explaining 27 % of the variance. NSSI was associated with increased risk for suicide thoughts/behaviors directly, and through acquired capability, explaining 45 % of the variance. These findings provide evidence that unique stressors individuals face as a result of their sexual minority status increases risk for self-harm by influencing cognitive and emotional processes such as burdensomeness and acquired capability. Implications for prevention, intervention, and future research are briefly discussed.
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